Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/324968
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dc.contributor.CRUESPUNIVERSIDADE DE ESTADUAL DE CAMPINASpt_BR
dc.typeComentáriopt_BR
dc.titlePatient In Chronic Hemodialysis With Right Atrial Mass: Thrombus, Fungal Endocarditis Or Atrial Myxoma?en
dc.title.alternativePaciente Em Hemodiálise Crônica Com Massa Em átrio Direito: Trombo, Endocardite Fúngica, Ou Mixoma Atrial?pt_BR
dc.contributor.authorSalanipt_BR
dc.contributor.authorTalita G.; Borgespt_BR
dc.contributor.authorCynthia de Moura; Urbinipt_BR
dc.contributor.authorCarolina S.; Schincariolpt_BR
dc.contributor.authorPatrícia; Quadrospt_BR
dc.contributor.authorKélcia Rosana da Silva; Ribeiro-Alvespt_BR
dc.contributor.authorMaria Almerinda; Oliveirapt_BR
dc.contributor.authorRodrigo Bueno dept_BR
unicamp.authorUniversidade Estadual de Campinas Faculdade de Ciências Médicas, Campinas, Brazilpt_BR
dc.subjectCathetersen
dc.subjectEndocarditisen
dc.subjectMyxomaen
dc.subjectRenal Dialysisen
dc.subjectThrombosisen
dc.subjectCateteresen
dc.subjectDiálise Renalen
dc.subjectEndocarditeen
dc.subjectMixomaen
dc.subjectTromboseen
dc.description.abstractWe present the case report of a 19-year-old patient with chronic kidney disease due to chronic glomerulonephritis, in hemodialysis (HD) by central catheter, with the incidental finding of a mass of 28x16 mm in right atrium (RA). The diagnosis of thrombus, infective endocarditis or myxoma were considered. Given the context of immunosuppression and difficult access vascular therapeutic practice has proved complex. Although Doppler echocardiography suggested thrombus in RA, nuclear magnetic resonance imaging (MRI) indicated for the diagnosis of myxoma in RA. In both conditions, the proposed surgical approach was limited by intense immunosuppression history and the risk of infectious complications. Throughout the treatment, the general state of K.M.F. remained satisfactory and revealed no signs or symptoms related to atrial dysfunction. The absence of fever and negative blood cultures excluded infective endocarditis. Prior echocardiogram report without masses in the RA decreased the chance of cardiac myxoma. The therapeutic response to anticoagulation confirmed the diagnosis of thrombosis. After 180 days of anticoagulation, there was significant reduction in mass. The patient developed asymptomatic. The diagnosis of mass in RA can be a challenge and only the evolution of the case was able to guide the appropriate conduit. While MRI has high sensitivity and specificity for the diagnosis of cardiac myxoma, the interpretation of images can be subjective. Controversial point is the removal of the catheter in such cases, which is subject discussed throughout the report.en
dc.relation.ispartofJornal Brasileiro de Nefrologiapt_BR
dc.publisherSociedade Brasileira de Nefrologiapt_BR
dc.date.issued2016pt_BR
dc.identifier.citationJornal Brasileiro De Nefrologia. Sociedade Brasileira De Nefrologia, v. 38, n. 4, p. 462 - 465pt_BR
dc.language.isoInglespt_BR
dc.description.volume38pt_BR
dc.description.issuenumber4pt_BR
dc.description.firstpage462pt_BR
dc.description.lastpage465pt_BR
dc.rightsabertopt_BR
dc.sourceScielopt_BR
dc.identifier.issn0101-2800pt_BR
dc.identifier.idScieloS0101-28002016000400462pt_BR
dc.identifier.urlhttp://www.scielo.br/scielo.php?pid=S0101-28002016000400462&script=sci_arttext&tlng=ptpt_BR
dc.date.available2017-08-30T17:38:01Z-
dc.date.accessioned2017-08-30T17:38:01Z-
dc.description.provenanceMade available in DSpace on 2017-08-30T17:38:01Z (GMT). No. of bitstreams: 2 S0101-28002016000400462por.pdf: 257075 bytes, checksum: 9b152688f5a76b91fced650e76461d49 (MD5) S0101-28002016000400462eng.pdf: 252538 bytes, checksum: 86fe07e9e266098e463e2942c8d0e08e (MD5) Previous issue date: 2016en
dc.identifier.urihttp://repositorio.unicamp.br/jspui/handle/REPOSIP/324968-
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